CAJ | 학술논문

目的：探讨微创经椎间孔腰椎间融合术治疗腰椎疾病临床效果。方法给予研究组微创经椎间孔腰椎间融合术，给予对照组传统开放经椎间孔椎体融合术。记录两组手术时间、术中出血量、术后住院时间、并发症发生情况及随访情况等，并进行统计学分析。结果研究组手术时间显著多于对照组，但研究组术中出血量、术后住院时间均显著少于对照组；研究组并发症发生率仅为20.00％，显著低于对照组并发症发生率45.00％；随访6个月两组视觉模拟评分（ VAS）较治疗前显著减少，而日本骨科协会评估治疗分数（ JOA）则较治疗前显著增加，与治疗前对比结果具有统计学意义（ P＜0.05），但两组对比P＞0.05，提示组间比较无统计学意义。结论对腰椎疾病患者给予微创经椎间孔腰椎间融合术治疗后可获得满意疗效及预后，利于患者尽快恢复健康，提高生活质量。
목적：탐토미창경추간공요추간융합술치료요추질병림상효과。방법급여연구조미창경추간공요추간융합술，급여대조조전통개방경추간공추체융합술。기록량조수술시간、술중출혈량、술후주원시간、병발증발생정황급수방정황등，병진행통계학분석。결과연구조수술시간현저다우대조조，단연구조술중출혈량、술후주원시간균현저소우대조조；연구조병발증발생솔부위20.00％，현저저우대조조병발증발생솔45.00％；수방6개월량조시각모의평분（ VAS）교치료전현저감소，이일본골과협회평고치료분수（ JOA）칙교치료전현저증가，여치료전대비결과구유통계학의의（ P＜0.05），단량조대비P＞0.05，제시조간비교무통계학의의。결론대요추질병환자급여미창경추간공요추간융합술치료후가획득만의료효급예후，리우환자진쾌회복건강，제고생활질량。
Objective To explore the clinical effect of minimally invasive transforaminal lumbar interbody fusion surgery for lumbar disease . Methods The patients in research group were given the minimally invasive transforaminal lumbar interbody fusion surgery .The patients in the control group were given the traditional open transforaminal lumbar interbody fusion survey .The operative time , the quantity of bleeding during the surgery , the length of stay after the surgery , the occurrence of complication and the results of follow -up of the patients in the two groups were recorded .Statistical analysis was done .Results The operative time of the research group was longer than the control group , but the quantity of bleeding during the surgery and the length of stay after surgery of the research group were remarkably less than the control group.The complication rate of the research group was only 20.00%, which was significantly lower than the control group , in which the complication rate was 45.00%.During the six-month follow -up visit, it was found that VAS score of the two groups obviously reduced , but JOA score apparently increased .Compared with the treatment effect before the surgery , it was statistically significant ( P<0.05 ) .How-ever, with P>0.05, comparison of the two groups showed no statistical significance .Conclusion The patients with lumbar disease given transforaminal lumbar interbody fusion can obtain satisfactory treatment and prognosis .Minimally invasive transforaminal lumbar interbody fusion surgery helps the patients recover quickly and improve their life quality .